Endometriosis and Infertility - a Gynecologist’s Perspective

In this blog, Dr. Cheruba Prabakar, a board-certified OB-GYN and fellowship-trained minimally invasive surgeon specializing in the latest surgical treatments for gynecologic conditions, including fertility-sparing fibroid surgery and endometrial polyp surgery and removal, will help us discover the intricate landscape of women’s reproductive health.

Minimally Invasive Surgery in Women’s Reproductive Health

Minimally invasive surgery, particularly robotic surgery at the forefront, plays a significant role in helping those who wish to conceive. This surgical technique helps in the preservation of the delicate architecture of the uterus, important for implantation and holding a baby to term.

Robotic Platform in Women

Robotic surgery significantly developed in the early 2000s, offers a remarkable blend of precision and minimally invasive approaches. Through tiny incisions, professionals can now navigate the complexities of reproductive anatomy,  addressing conditions such as fibroids, endometrial polyps, and ovarian cysts with meticulous care. This approach is crucial for preserving fertility.  This new surgical technique reduces postoperative complications and shortens recovery time.

Women’s Common Reproductive Health Issues

Dr. Prabakar highlights the common reproductive health issues faced by women, such as fibroids, ovarian cysts, and endometriosis. She stresses the importance of regular gynecological check-ups to detect these conditions early, even with no apparent symptoms. Early detection can significantly improve managing and treating these conditions, particularly for those planning to conceive.

Silent Endometriosis

Silent endometriosis often evades detection until advanced stages.  Dr. Prabakar’s notes that many patients only discover they have endometriosis during surgical interventions for unrelated issues like fibroids or when undergoing IVF treatment.

Difference Between Fibroids and Endometriosis

Fibroids and endometriosis, though often confused, are distinct conditions. Fibroids are tumors of the smooth muscle in the uterus, causing heavy bleeding and other symptoms due to their distortion of the uterine cavity. Endometriosis involves the escape of uterine lining tissues to different areas of the body, causing pain and cramping outside the uterus. Understanding these differences is key to proper diagnosis and treatment.

HPV

Human papillomavirus (HPV) is a common concern among women, primarily due to its association with cervical cancer. Dr. Prabakar reassures that while HPV is prevalent, it is usually slow-growing and isn’t an immediate threat to fertility. Despite its prevalence, affecting approximately 70% of American women, HPV should not prevent women from receiving regular medical exams or pursuing their fertility goals. Recognizing that HPV-related cervical cancer progresses very slowly allows for timely health management with your trusted Ob-Gyn.

Holistic approaches are also essential in managing HPV. Strengthening the immune system through acupuncture, stress relief, and a diet rich in antioxidants can help control the virus. These complementary therapies support the body’s ability to manage HPV. By addressing both the physical and emotional aspects of an HPV diagnosis, women can confidently continue their fertility journey.

Nutrition and Lifestyle in Managing Endometriosis

Nutrition and lifestyle play a significant role in managing endometriosis. For those diagnosed with endometriosis, Dr. Prabakar recommends a diet rich in plants, regular exercise, and sufficient sleep to reduce inflammation and manage symptoms. These lifestyle changes can complement medical treatments and improve overall health.

Dr. Prabakar strongly recommends that early into your reproductive years you establish a relationship with a gynecologist, prioritize nutrition and get adequate movement each day.

Access to Women’s Reproductive Health Care

Dr. Prabhakar’s practice in Lafayette, California, offers boutique gynecologic care for women of all ages. She encourages patients, even those out of state, to seek consultations and utilize her expertise. For those unable to visit in person, she offers a consultative program to provide guidance and support.

While many of her more minor procedures, such as biopsies and colposcopies, can be done in the office, more extensive surgeries that require general anesthesia are performed in a hospital setting. This ensures patient safety and the availability of necessary resources for more complex procedures.

In conclusion, the conversation with Dr. Prabakar highlights the importance of combining medical treatments with holistic practices, having regular gynecological visits, the benefits of minimally invasive surgery, and the role of integrative health practices in managing reproductive conditions. By following these guidelines, women can enhance their reproductive health and improve their chances of a successful fertility journey.

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Dr. Cheruba Prabakar is a board-certified OBGYN and fellowship-trained minimally invasive surgeon specializing in the latest surgical treatments of gynecologic conditions. Her specialty includes fertility-sparing fibroid surgery and endometrial polyp removal.

Resources:

Website: www.TheFibroidDoc.com  www.lamorindagyn.com

Instagram: www.instagram.com/thefibroiddoc

YouTube: www.youtube.com/c/TheFibroidDoc

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